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Viewing blog posts tagged with "Weight Gain"

Tolerating our own children’s distress

posted by Julie O'Toole on October 20, 2016 at 8:32am

This post was originally published on November 13, 2013.

Until I lived in the world of therapists and mental health professionals as part of the Kartini multidisciplinary team treating children with eating disorders, I had never actually heard the phrase “tolerating distress”, particularly as it pertained to parents.  Like most parents, I have a very difficult time tolerating pain in my own children, either physical or emotional and, when put in that situation, I immediately get…

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Back To School And The Risk Of Relapse

posted by Julie O'Toole on September 9, 2016 at 12:51pm

When you practice as long as I have in the field of childhood eating disorders, one thing becomes abundantly clear: there are cycles to the frequency with which patients appear on our doorstep for treatment -- and on the doorsteps of all the other treatment centers as well. The trouble is, it has proven difficult to understand the peaks and troughs of these cycles and correlate them to much of anything. But there do seem to be a few tentatively recognizable patterns. And these peaks…

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Live AED Twitter Chat with Dr. O’Toole!

posted by Julie O'Toole on February 5, 2016 at 2:30pm

On February 9 at 10:30 AM PST / 1:30 PM EST, Dr. Julie O'Toole, founder and Chief Medical Officer at Kartini Clinic for Children and Families in Portland, Oregon will lead a Tweet Chat conversation sponsored by Academy for Eating Disorders. The Tweet Chat will focus on “Weight Restoration 2.0”, a topic which Dr. O'Toole has written about extensively in her blog, Give Food a Chance.

To participate in the live Tweet Chat, you need to have a Twitter account. To follow or participate in…

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Why Wait For Treatment?

posted by Julie O'Toole on January 20, 2016 at 3:35pm

It still happens all the time.  I go to see a family in the hospital (and they can be from anywhere) and as I take their history, the parents begin their recitation of what brought their son or daughter to this juncture in the first place.

It often starts subtly: increased alone time as a result of less interest in social activities, more time spent on homework and “fitness” or sport.  Eating “healthy”.  Who can argue with eating healthy and homework?  Then the vegetarianism.…

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It’s Enough to Make You Crazy

posted by Julie O'Toole on October 2, 2015 at 11:25am

Let’s start with the impetus for my morning study focus: requirements by the American Board of Pediatrics (ABP) for what they call “Maintenance of Certification”.  Those of you reading this who are American physicians know what I mean: we are required to take Board Examinations every ten years, something I have just finished doing (again).  Some of you reading this may be lawyers or therapists—imagine if you had to retake your professional exams every ten years.  I am not talking…

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Where Are The Grown-Ups?

posted by Julie O'Toole on August 5, 2015 at 2:00pm

I read an article on Medpage the other day - “Docs have Role in Preventing Childhood Obesity” - about recent recommendations by the American Academy of Pediatrics (AAP), which I found both annoying and discouraging in equal amounts.

First the annoying part: a prominent, almost certainly staged picture of two overweight children with their mouths open, watching TV, a huge spread of take-out food on the coffee table before them.  Who allows their children to be photographed like that?…

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The Suffering of Others

posted by Julie O'Toole on May 8, 2015 at 10:04am

“With what incredible courage we are able to endure the suffering of others” -- My favorite quote from English garden writer Christopher Lloyd.  And nowhere does it apply more than in medicine.  And within the world of medicine, nowhere more than in the world of mental health.

When my neighbor is poor, he deserves it for his sloth and lack of thrift.  When I am poor, I am the victim of unfairness and persecution.  When a young man medicates his abdominal pain with narcotics, he just…

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Very Early Onset Anorexia Nervosa

posted by Julie O'Toole on April 3, 2015 at 3:20pm

For the purposes of this discussion I am somewhat arbitrarily defining “very early onset” as 12 years and younger.  Despite what you might think, this is not synonymous with “pre-pubertal onset” as Caucasian girls on average begin breast development - and the hormonal changes associated with this - at about 10 ½ years of age. Boys on average begin to go through pubertal changes about two years later.  And for girls and boys of African and Hispanic heritage average ages for these…

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The Surprising Similarities Between Anorexia and Obesity

posted by Julie O'Toole on January 28, 2015 at 10:14am

One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Quite a lot, as it turns out. And by the way, it’s worth repeating at the outset, neither condition is one…

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The Dangers of Staying Slightly Below Weight

posted by Julie O'Toole on December 10, 2014 at 8:35am
I am a pediatric eating disorder doctor and try my best to limit my practice to patients 22 and younger. Why is this hard? Because I have a great treatment team and good treatment is hard to come by, so we sometimes run into deserving and desperate adult patients, whom we simply must refer to adult providers. I say this so that readers of this blog may put my recommendations into the context of the age group with which I am most familiar, although it is my opinion that this topic is… Read More
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